2011-02-02_REVISION - M2000158

• Permit No: M2000158
• IBM Index Class Name: REVISION
• Doc Date: 2/2/2011
• Doc Name: SO Application
• From: Gilcrest Reservoir, L.L.C.
• To: DRMS
• Type & Sequence: SO1
• Email Name: JLE
• Email Name: AJW
• Media Type: D
• Archive: No

-2-
II. ADMINISTRATIVE INFORMATION:
1. Permit Number:
M-2000-158
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
IRS Tax ID No. or Social Security No.:
S & H Mine
Rocky Hoffschneider
Platte Sand & Gravel, LLC
P.O. Box 180
Littleton
Colorado Zip code: 80160
303 Telephone: [phone]
-T'`. M. W& I S k
Gilcrest Reservoir, L.L.C.
8301 East Prentice Ave, Suite 100
Greenwood Village
Colorado Zip Code: 80111
303 Telephone: [phone]

5. Application Fee: $115.00 for Hard Rock operations; $144.00 for Construction Materials operations
Make check payable to the Division of Reclamation, Mining and Safety